| NPI | 1851757116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2273) |
| 163W00000X Registered Nurse (Licence: NE 42782) | |
| Enumeration Date | 2016-01-01 |
| Last Update Date | 2016-02-16 |