| NPI | 1003192345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 18732) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 227652) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2023-04-17 |