| NPI | 1760670590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW30078) |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist (Licence: CA ASW30078) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2011-07-27 |