| NPI | 1497094791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 005120) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 9009) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2014-03-17 |