| NPI | 1740486943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR R50018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R50018) |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: AR R50018) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-04-23 |