| NPI | 1811529498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 132550) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-WXZMLO) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2025-08-12 |