| NPI | 1891345880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104684) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 225972) |
| 104100000X Social Worker (Licence: TX 104684) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2023-05-04 |