| NPI | 1942920434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 14243) |
| Additional Taxonomies | 104100000X Social Worker |
| 164W00000X Licensed Practical Nurse (Licence: NC 068497) | |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2023-03-08 |