| NPI | 1134865801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV BP00942985) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0032061) |
| 104100000X Social Worker (Licence: KY KY-4752) | |
| 163W00000X Registered Nurse (Licence: WV 82107) | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-06 |