| NPI | 1588799613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 1018812) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NH 1085) |
| 163W00000X Registered Nurse (Licence: MA 121788) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |