| NPI | 1831606565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15819) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 5909) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2024-08-12 |