| NPI | 1942274154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 44946) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 44946) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2008-12-24 |