| NPI | 1154640910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006674A) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2024-09-20 |