| NPI | 1376946152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR A1602012) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: AR R84437) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2016-03-07 |