| 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 |