| NPI | 1306027461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM 0084281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R47773) |
| 101YP2500X Counselor Professional (Licence: NC 7476) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2009-08-24 |