| NPI | 1881067684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA RN073102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN073102) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |