| NPI | 1881037299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC LC50082059) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: DC 50329) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2023-11-27 |