| NPI | 1528203080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 64621) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 64621) |
| 104100000X Social Worker (Licence: CA 64621) | |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2018-02-01 |