| NPI | 1447348800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC P29384) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC 29384) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-06-16 |