| NPI | 1508264391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E56947) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT E56947) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2022-06-28 |