| NPI | 1124723739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 13185) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 23-23184-092) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-06-20 |