| NPI | 1225303738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009050) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC P006458) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2017-01-12 |