| NPI | 1497591028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI csw03862) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA msw012018) |
| 104100000X Social Worker (Licence: CT 9693) | |
| 164W00000X Licensed Practical Nurse (Licence: FL 5260842) | |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-09-15 |