| NPI | 1477521466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006033A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 28142163A) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-04-28 |