| NPI | 1801296504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW022627) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2024-05-25 |