| NPI | 1811366677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 13979) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S.1701335) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2022-11-16 |