| NPI | 1265613806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006005A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28139218) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2010-09-30 |