| NPI | 1871637017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 091003113RN) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 091003113RN) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |