| NPI | 1083948236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL 1557952) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 1557952) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |