| NPI | 1093949406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2008028437) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 080733) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |