| NPI | 1144699828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 136829702) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA LCSW118220) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2023-10-11 |