| NPI | 1750780284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 92497) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW 73418) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2021-06-23 |