| NPI | 1134399942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8837) |
| Additional Taxonomies | 246R00000X Technician, Pathology (Licence: FL TN 36567) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2015-09-25 |