| NPI | 1538526330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW69777) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-08-09 |