| NPI | 1730236977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 1884-125) |
| Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: WI 51189-030) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-09-26 |