| NPI | 1316034069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E51354) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001197) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-10 |