| NPI | 1114384385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201403415RN) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2018-03-17 |