| NPI | 1720692254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009491) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO X114235002) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2026-04-24 |