| NPI | 1144582826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WA RN00092039) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60154372) |
| 163W00000X Registered Nurse (Licence: WA RN00092039) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |