| NPI | 1558739177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121867) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082248) |
| 1041S0200X Social Worker, School (Licence: DC LC50082248) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2023-01-19 |