| NPI | 1831747245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100660) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA E3) |
| 101YM0800X Counselor, Mental Health (Licence: CA 100660) | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2022-10-06 |