| NPI | 1033350327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0903002663) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 51359) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI CSW04048) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2025-05-15 |