| NPI | 1649840778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CA 130620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 109864) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2025-06-09 |