| NPI | 1235861972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW115681) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW115681) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2024-04-03 |