| NPI | 1538330865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041236018) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180002843) |
| 171M00000X Case Manager/Care Coordinator (Licence: IL 00015013) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |