| NPI | 1497774715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 4039-123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 68389-030) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |