| NPI | 1760732713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11300) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: FL RN2038312) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |