| NPI | 1467810473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 200241756RN) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200241756RN) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2017-04-07 |