NPI | 1124150503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401005961) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704173562) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-07-08 |