| NPI | 1790454353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 121281) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P124006) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-09-22 |