| NPI | 1497039994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 66260-030) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 1265-120) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |