| NPI | 1174188841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2390392) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2025-02-04 |