| NPI | 1871109090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 104362) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 104362) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-06-26 |