| NPI | 1396972121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WV 1813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 29205) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |