| NPI | 1225142797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002678) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303484) |
| 163W00000X Registered Nurse (Licence: VA 0001104021) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |