| NPI | 1003210469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 99792) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA D7211097) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2024-02-16 |