| NPI | 1528709011 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-04-06 | 
| Last Update Date | 2023-02-08 |