NPI | 1093041113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60083181) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN00097929) |
Enumeration Date | 2009-10-23 |
Last Update Date | 2009-10-23 |