| NPI | 1649464199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012290) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: IL 041-187397) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2011-06-13 |