| NPI | 1770551186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN1261672) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2011-01-20 |