NPI | 1902103161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4521-125) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: WI 69991-030) |
Enumeration Date | 2011-02-23 |
Last Update Date | 2011-02-23 |