| NPI | 1578988507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 94436) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF94436) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2023-01-04 |