| NPI | 1639366925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1244-125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 73284-030) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |