NPI | 1023349727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60134686) |
Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WA VA00058604) |
376K00000X Nurse's Aide (Licence: WA NC10058612) | |
Enumeration Date | 2010-01-19 |
Last Update Date | 2010-01-19 |