| NPI | 1639528573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200642706RN) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-07-12 |