| NPI | 1669701348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-08692) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 216792) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2014-07-15 |