| NPI | 1285811323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA RC00035307) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NA00186369) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |