| NPI | 1710659552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2309284) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2102084-TRNE) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2023-07-13 |