| NPI | 1790437176 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2208478)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2102020-TRNE)  | 
| Enumeration Date | 2022-01-26 | 
| Last Update Date | 2023-03-07 |