| NPI | 1922577915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 109154) |
| Additional Taxonomies | 101Y00000X Counselor |
| 175T00000X Peer Specialist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2022-07-18 |