| NPI | 1407305246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW91760) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical (Licence: CA ASW91760) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2021-02-17 |