| NPI | 1336754522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 115779) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 100695) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2025-08-07 |