| NPI | 1124417803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3086) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 0021346RN) |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-01-17 |