| NPI | 1366684698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 0010) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK D8526344) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |