| NPI | 1356804058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW110926) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW92988) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2022-11-30 |