| NPI | 1104952613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN579382) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |