| NPI | 1669055075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 94484) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-08-26 |