| NPI | 1568455475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2025) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NE 46075) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2008-05-02 |