| NPI | 1164151338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P020230) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2207658) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-02-20 |