| NPI | 1669012944 |
|---|---|
| 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: OR A14695) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-01-22 |