| NPI | 1477635407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN RN133926) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN50442) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-05-19 |