| NPI | 1295299964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW135511) |
| 106S00000X Behavior Technician | |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2026-09-23 |