NPI | 1467828673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20875) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09928906) | |
Enumeration Date | 2015-08-11 |
Last Update Date | 2023-01-23 |