NPI | 1225487937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 84415) |
Additional Taxonomies | 104100000X Social Worker (Licence: LA 16971) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-06-03 |
Last Update Date | 2022-01-28 |