| NPI | 1194071811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV LPN12295) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NV LPN12295) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |