| NPI | 1689159204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121130) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 96946) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW96946) | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-03-20 |