| NPI | 1750784450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 76121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW60912) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW60912) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2017-03-30 |