| NPI | 1629753215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 140596) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 140596) |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-06-13 |