| NPI | 1902388234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012160) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 4845) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-01-12 |