| NPI | 1013466457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC61106822) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801102661) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2021-12-01 |