| NPI | 1083853709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60069317) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WA RN00097765) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |