| NPI | 1992859797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 61424) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1041C0700X Social Worker, Clinical | |
| 104100000X Social Worker (Licence: 24029) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2014-06-11 |