| NPI | 1235848490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA LCSW230548) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW143245) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2026-06-20 |