| NPI | 1992018741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 4704276017) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MI 4704276017) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2012-07-27 |