| NPI | 1992244743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 115649) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA Y4922972) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW115649) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-10-04 |