| NPI | 1508446030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9473628) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCMS.0101086) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-10-24 |