| NPI | 1255498606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00055833) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10015774) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |