| NPI | 1881852986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1400X Registered Nurse College Health (Licence: WI 841-033) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 831-033) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |