| NPI | 1184159311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 263759) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MT BBH-SWLC-LIC-18910) |
| 1041C0700X Social Worker Clinical (Licence: MT BBH-SWLC-LIC-18910) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-05-15 |