| NPI | 1710917455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 150842) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-05-07 |