| NPI | 1891039772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL C1851A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1062106) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-12-18 |