| NPI | 1952561508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 0000000845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000093443) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |