| NPI | 1154045482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60431293) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60431293) | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |