| NPI | 1609466572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 713441) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 713441) |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2021-02-03 |