| NPI | 1811740350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 13239706-3502) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 058854-21) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |