| NPI | 1609886001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201242046RN) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NV RN50635) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-04-17 |