| NPI | 1376654814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005945A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 33005190A) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-06-13 |