| NPI | 1750303970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 2570) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 00019878) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |