| NPI | 1811503436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 110387) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 110387) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 110387) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2023-04-22 |