| NPI | 1881144038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 84577) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: ASW84577) | |
| 104100000X Social Worker (Licence: CA ASW84577) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2022-07-21 |