| NPI | 1780356386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW126879) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW103259) |
| 104100000X Social Worker (Licence: CA ASW103259) | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-11-24 |