| NPI | 1346581048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5497) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 5497) |
| 163W00000X Registered Nurse (Licence: LA 086870) | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2020-08-03 |