| NPI | 1376623470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA NC10078923) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00052814) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2025-09-11 |