| NPI | 1922317270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC cl500081625) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 16494) |
| 1041C0700X Social Worker, Clinical (Licence: MD 24009) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2020-04-20 |