| NPI | 1003884537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 081302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 330007) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-08 |