| NPI | 1053411686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA RN1169953) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9231733) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2016-11-21 |