| NPI | 1417640731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA ASW135485) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1041C0700X Social Worker, Clinical (Licence: OH S.2512776) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2026-01-12 |