| NPI | 1659782498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW66645) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 33-0743869) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2016-03-21 |