| NPI | 1285193946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA RN00085906) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60149012) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |