| NPI | 1588910616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 30799) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 30799) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |