| NPI | 1558762310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PR 13326) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR R00375148) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2017-12-28 |