| NPI | 1205985223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003563) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC C003563) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-03-04 |