| NPI | 1124006937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C000414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 060005) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2010-11-08 |