| NPI | 1316437387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R5145) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 201143228RN) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |