| NPI | 1275847816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R883646) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1174) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2011-04-11 |