| NPI | 1528616398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 227321) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-01-04 |