| NPI | 1750838710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.115042) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 85161) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW85161) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-01-14 |