| NPI | 1003942640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH7959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN1489872) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL CAP2460) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: FL RN 1489872) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-06-24 |