| NPI | 1700514098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW116207) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW116207) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2023-11-21 |