| NPI | 1609248715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 84957) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84957) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2022-07-21 |