| NPI | 1356103535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CAAR.CG.61516848) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NAC.NC.61218524) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2026-08-13 |