| NPI | 1487123337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 15818) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 230869) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2023-01-24 |