| NPI | 1891845707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 3543-125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 80451-030) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |