| NPI | 1831773860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 200741547RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200741547RN) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |