| NPI | 1861915530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 113180) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 90689) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-03-03 |