| NPI | 1114549458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 003390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 136543) |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2023-03-18 |