| NPI | 1477447217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP053992) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ ALPP-363940) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |