| NPI | 1306364765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW84131) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW84131) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2019-01-08 |