| NPI | 1942704242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WV PN23344) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-03-18 |