| NPI | 1750605804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114580) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW93408) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2023-06-01 |