| NPI | 1871867440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15308) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL CNA242130) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2018-04-20 |