| NPI | 1144675810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA 171M00000X) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2026-02-13 |