| NPI | 1861765976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AR 9913M) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AR L48351) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2020-04-06 |