NPI | 1982867453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.002721) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.116110) |
175F00000X Naturopath | |
Enumeration Date | 2008-07-05 |
Last Update Date | 2008-07-05 |