| NPI | 1124459045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801094187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704307329) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2020-08-09 |