| NPI | 1992857262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1463897071) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |