| NPI | 1114183506 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: DC RN35610) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC RN35610) | 
| Enumeration Date | 2008-08-05 | 
| Last Update Date | 2008-08-05 |