| NPI | 1124251731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA RC00000426) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00060882) |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2009-08-29 |