| NPI | 1235457573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM R37429) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0128581) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-08-16 |