| NPI | 1952743858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041337974) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178007571) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-08-22 |