NPI | 1174778757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL ARNP 2095202) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL arnp2095202) |
101YM0800X Counselor, Mental Health (Licence: FL arnp 2095202) | |
Enumeration Date | 2008-11-24 |
Last Update Date | 2011-09-14 |