| NPI | 1215002290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: VA 0015000183) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701001342) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2015-02-09 |