| NPI | 1306145511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00008573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN389352) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |