| NPI | 1477668937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1743123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 72571030) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-02-07 |