| NPI | 1194243329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R222745) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2023-02-22 |