| NPI | 1255933057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9610723) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCMS101109) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2022-10-21 |