| NPI | 1760521173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2003007325) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 145223) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |