| NPI | 1255167185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 0) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT STUDENTINTERN) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2025-07-02 |