| NPI | 1497487466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 134913) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI X) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2025-04-10 |