| NPI | 1679632608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4714) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 110129) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-12-29 |