| NPI | 1447543699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 12832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 777524) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |