| NPI | 1982605861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17537) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 033143) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2021-02-09 |