| NPI | 1467975755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 104909) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 104909) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 104909) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2023-05-15 |