| NPI | 1114363140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA pc004304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN264361L) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-11-15 |