| NPI | 1992177471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN257083) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |