| NPI | 1790082824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: 687139) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 62146453502) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2022-05-25 |