| NPI | 1982366753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22889) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9658083) |
| Enumeration Date | 2021-10-09 |
| Last Update Date | 2024-08-12 |