| NPI | 1902264047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108605) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA B7461199) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 108605) | |
| 104100000X Social Worker (Licence: CA 108605) | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2023-06-21 |