| NPI | 1447875182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9497191) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL ALPP-315890) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |