| NPI | 1124513429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013209) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P012686) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 65937) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2020-10-19 |