| NPI | 1396083853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75278) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA 75278) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2022-04-01 |