| NPI | 1730768847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA CW026293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW026293) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-09-16 |