| NPI | 1366973596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CT 007688) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 007688) |
| 1041C0700X Social Worker, Clinical (Licence: CT 007688) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 007688) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-04-19 |