NPI | 1598763989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ RN099009) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN099009) |
Enumeration Date | 2005-07-11 |
Last Update Date | 2007-07-08 |