| NPI | 1659751667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110232) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 72575) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2025-07-10 |