| NPI | 1780208850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 96684) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2021-01-14 |