| NPI | 1588622203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NM R17832) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 1941) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2021-05-13 |