| NPI | 1093007080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002904) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001127373) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2019-08-02 |