| NPI | 1275958951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW 72605) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 104100000X Social Worker (Licence: CA ASW 72605) | |
| 101Y00000X Counselor (Licence: CA ASW 72605) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2016-08-22 |