| NPI | 1770775942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT R45327) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2012-12-10 |