| NPI | 1902407299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW9571) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN441421) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |