NPI | 1194472431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017465) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: NC P017937) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-03-07 |
Last Update Date | 2024-11-04 |