| NPI | 1609159003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28317) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7847) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200001756) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2022-03-18 |