| NPI | 1205428810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2101724) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 2101724) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2022-02-11 |