NPI | 1114000197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004612) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001088731) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2014-11-13 |