| NPI | 1265757975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60124974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00073868) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2017-07-19 |