NPI | 1568485340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1029743) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN106120) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2013-01-28 |