| NPI | 1326159302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 3166) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 3166) |
| 101YM0800X Counselor Mental Health (Licence: NC 3166) | |
| 163W00000X Registered Nurse (Licence: NC 88474) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-11-03 |