| NPI | 1962699041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008099) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079275) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW10754) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2019-10-30 |