NPI | 1285680116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 001533) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 001533) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2007-07-08 |