NPI | 1639474554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117962) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 11962) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-01-24 |
Last Update Date | 2024-06-19 |