| NPI | 1942757059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 137564) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 107218) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2026-06-29 |