| NPI | 1861751752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9339654) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |