| NPI | 1790236545 |
|---|---|
| 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: FL ISW14342) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-05-09 |