| NPI | 1790294320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 99772) |
| 104100000X Social Worker (Licence: CA 99772) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-08-03 |