| NPI | 1407306319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL Pn5151324) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL PN5152346) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |