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 |