| NPI | 1053573865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 50331) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-08 |