| NPI | 1972221851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 22711) |
| Additional Taxonomies | 104100000X Social Worker |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YP2500X Counselor, Professional (Licence: CA APCC15218) | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2026-05-20 |