| NPI | 1306067871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 1712) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CO 55282) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |