| NPI | 1265005904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CO NA.00763754) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |