| NPI | 1609023480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 338227-3501) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 338227) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2023-12-14 |