| NPI | 1528541315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 109857) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 657448956) |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2020-10-05 |