| NPI | 1407380231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: LA 160554) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |