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 |