| NPI | 1164720736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 102202) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2021-09-14 |