| NPI | 1760117683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ASW115680) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA Y3611082) |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2023-07-29 |