| NPI | 1295464568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 110814) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 119823) |
| 164W00000X Licensed Practical Nurse (Licence: NY 332550) | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2024-03-13 |