| NPI | 1174073878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR A1507093) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R80964) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |