| NPI | 1962663823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 64264) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 64264) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: CA 64264) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2019-04-23 |