| NPI | 1003210469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 128733) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA d7211097) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2025-09-12 |