| NPI | 1396421418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 225800000X Recreation Therapist (Licence: UT 10534767-4002) | |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |