| NPI | 1306457635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104841-01) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2024-02-07 |