| NPI | 1013253764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-65147) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2019-05-28 |