| NPI | 1275671422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60666126) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00010781) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2016-06-16 |