| NPI | 1619987831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 575-121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 56649-030) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |