| NPI | 1700264124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 96246) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 96246) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2023-06-27 |