| NPI | 1205043916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN048936L) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |