| NPI | 1144371329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00037980) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: WA RN00128482) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-08-20 |