| NPI | 1285075457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60385755) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00009751) |
| 163W00000X Registered Nurse (Licence: WA RN60159467) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-17 |