| NPI | 1851842629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH15235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9224052) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |