| NPI | 1770130189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 9618) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 772878) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-12-23 |