| NPI | 1912721077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW19712) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5177661) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |