| NPI | 1275744096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 989979) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 52649) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-04-05 |