| NPI | 1174868582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 2470A2800X Technician, Health Information Assistant Record Technician |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2013-07-10 |