| NPI | 1417408626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NE 15015) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 14656) |
| Enumeration Date | 2016-10-23 |
| Last Update Date | 2025-10-29 |