| NPI | 1245455203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60045383) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN00151409) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60171126) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2012-07-09 |