| NPI | 1336448919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 055347) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 055347) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |