| NPI | 1427863703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW12837) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW12837) |
| 164W00000X Licensed Practical Nurse (Licence: FL 1308881) | |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-13 |