| NPI | 1205349966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AK 20146) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2019-06-12 |