NPI | 1356679369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC00013967) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN00039663) |
Enumeration Date | 2009-12-02 |
Last Update Date | 2009-12-02 |