| NPI | 1003241324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086322) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092897) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2019-05-30 |