NPI | 1578904868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0013921) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN-191388) |
Enumeration Date | 2013-07-15 |
Last Update Date | 2019-02-21 |