| NPI | 1730638131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 20105) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2025-04-18 |