| NPI | 1922399245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012357) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008012814) |
| 163W00000X Registered Nurse (Licence: CO RN.1630917) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2023-01-25 |