| NPI | 1851447882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 548) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 54244) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-10-26 |