| NPI | 1770177644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 135062) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 106020) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2025-11-05 |