| NPI | 1144345554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 0008889) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CT E32952) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-09-06 |