| NPI | 1679516876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NM R20382) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM R20382) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-02-14 |