| NPI | 1881875599 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 92591)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 92591)  | 
| Enumeration Date | 2007-11-21 | 
| Last Update Date | 2023-07-13 |