| NPI | 1225228372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 2546) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2546) |
| 163W00000X Registered Nurse (Licence: AL 1-091481) | |
| 163WG0000X Registered Nurse, General Practice (Licence: AL 1-091481) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2017-02-15 |