| NPI | 1174826861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VT 026.0022700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 097.0000728) |
| Enumeration Date | 2010-12-18 |
| Last Update Date | 2012-12-07 |