| NPI | 1366058208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW123021) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW102745) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2026-02-06 |