| NPI | 1417469446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 010248) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 10248) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 3419) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2022-05-01 |