| NPI | 1952373136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 005715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E36457) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-07-08 |