| NPI | 1225497480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0000931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0036355) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |