| NPI | 1346835907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 694427) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 694427) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-09-12 |