| NPI | 1700808714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R0415141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 367643-1) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-03-14 |