| NPI | 1205374832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CO NA.00351007) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO DD.00205345) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-16 |