| NPI | 1932134442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2001004045) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 032173) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |