| NPI | 1124836713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 130959) |
| Additional Taxonomies | 251E00000X Home Health |
| 104100000X Social Worker (Licence: AZ 22698) | |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2026-06-01 |