| NPI | 1407974439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 65198) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 27117) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-01-03 |