| NPI | 1346397643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 70176) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 2676) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |