| NPI | 1578954632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802088254) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2025-09-02 |