| NPI | 1780286815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014280) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014034) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2022-08-29 |