| NPI | 1720117963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 103173) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-04-08 |