| NPI | 1386254043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 201906666RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201906666RN) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |