| NPI | 1467678953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57440) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1041C0700X Social Worker, Clinical (Licence: NY 078652) | |
| 1041C0700X Social Worker, Clinical (Licence: AL 2431C) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-05-20 |