| NPI | 1164820163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247000000X Technician, Health Information |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801085319) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2015-04-02 |