| NPI | 1073917282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117646) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW70693) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-07-23 |