NPI | 1952067803 |
---|---|
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 97500) |
Enumeration Date | 2021-11-15 |
Last Update Date | 2022-12-27 |