| NPI | 1801543145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R216147) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2023-12-29 |