| NPI | 1487127791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL 17546) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 253J00000X Foster Care Agency | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-07-27 |