| NPI | 1316462252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102579) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW84062) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2022-11-18 |