| NPI | 1861930133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 137561) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2026-09-11 |