| NPI | 1295950640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC9204) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MD R086661) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-05-25 |