| NPI | 1083412878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9749-123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 1102027-30) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |