| NPI | 1295873198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 200830106LPN) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 171M00000X) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-02-23 |