| NPI | 1265688519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA RC00058409) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10067295) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2023-06-16 |