| NPI | 1003235953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003189) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2019-08-06 |