| NPI | 1497156574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 083037624RN) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2016-06-15 |