| NPI | 1356951875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 112811) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2021-07-27 |