| NPI | 1629184056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801066421) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704097448) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-09 |