| 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 |