| NPI | 1154805679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127256) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA f7169409) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2024-12-10 |