| NPI | 1619183548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000135A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28100900A) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |