| NPI | 1154486603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 100299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN68987) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |