| NPI | 1043876246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107274) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 104100000X Social Worker (Licence: CA 107274) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-04-04 |