| NPI | 1548949050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 138338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 119272) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2026-05-22 |