| NPI | 1104592815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 13340) |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2021-08-22 |