| NPI | 1518075456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004575A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28098238A) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-03-18 |