| NPI | 1730295767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-0049) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: AZ RN018397) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |