| NPI | 1518289701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 060180) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 060180) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |