| NPI | 1366064115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL CBHCMS.0101148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034783) |
| 163W00000X Registered Nurse (Licence: FL RN9562909) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2025-10-20 |