| NPI | 1407151947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004939A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28128139A) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |