| NPI | 1063142917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S2202440-TRNE) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S2202440-TRNE) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2023-11-06 |