| NPI | 1134560113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LCSW-44773) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 39380) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2024-04-09 |