| NPI | 1356590194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 00002342RN) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: OH 000023424RN) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |