| NPI | 1225158967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 47530563102) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 4753056-3502) |
| 1041C0700X Social Worker, Clinical (Licence: UT 4753056-3502) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-01-16 |