| NPI | 1760960447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: 109063) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P103556) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2020-09-18 |