| NPI | 1518557537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 98514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 98514) |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2023-03-02 |