| NPI | 1003693771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2303206-TRNE) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-18 |