| NPI | 1215236088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 5264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 63557) |
| Enumeration Date | 2011-03-19 |
| Last Update Date | 2011-03-19 |