| NPI | 1801941216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704286320) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801069498) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-11-30 |