| NPI | 1962563783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 001514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT R47483) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-09-23 |