| NPI | 1477260578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA CM-100691) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 250896) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-01-20 |