| NPI | 1841747888 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106956)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 106956)  | 
| 101YM0800X Counselor, Mental Health (Licence: CA ASW83954)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-07 | 
| Last Update Date | 2025-09-15 |