| 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 |