| NPI | 1215169503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001139683) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |