| NPI | 1871088310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022890) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.1800500-TRNE) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-08-14 |