| NPI | 1366508012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00061241) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006122) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-03-04 |