| NPI | 1508328972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 101949) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101949) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-07-16 |