| NPI | 1447356076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT E38542) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 006329) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-12-28 |