| NPI | 1073607552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4146) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN1646792) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-09-28 |