| NPI | 1114634888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA 793039) |
| 374U00000X Home Health Aide | |
| 226000000X Recreational Therapist Assistant | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |