| NPI | 1366267551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 113306) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 113306) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-12-04 |