| NPI | 1114201191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76773) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 76773) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 28755) | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2022-07-21 |