NPI | 1720690407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 103832) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 103832) |
1041C0700X Social Worker, Clinical | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-08-23 |
Last Update Date | 2023-09-06 |