| NPI | 1760561385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA RN192410L) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN192410L) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA RN192410L) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |