| NPI | 1063714616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93064) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: CA 93064) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 74402) | |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2021-08-19 |