| NPI | 1568944205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 90505) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor, Mental Health (Licence: CA 88585) | |
| 104100000X Social Worker | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2021-01-19 |