| NPI | 1477039030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA r1328850819) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2021-08-05 |