| NPI | 1346694429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 109042) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 6348) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-03-07 |