| NPI | 1740825439 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11025639-3502) | 
| Additional Taxonomies | 104100000X Social Worker | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-11-17 | 
| Last Update Date | 2025-04-01 |