| NPI | 1801917679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003950) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC C003950) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-07-13 |