NPI | 1972117216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS P-0617) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R872587) |
Enumeration Date | 2020-09-03 |
Last Update Date | 2020-09-03 |