| NPI | 1083016596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW88701) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW72374) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2021-12-08 |