| NPI | 1124201504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 1023221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 154302) |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2007-12-09 |