| NPI | 1487276820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 102073) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 102073) |
| 101YM0800X Counselor Mental Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-01-31 |