| NPI | 1831267533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 999815) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 55529) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-02-11 |