| NPI | 1487866109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0087401) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NM R12868) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |