| NPI | 1326066143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2461-125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 49005-030) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |