| NPI | 1376707778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60295659) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 52986) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 409799) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-03-10 |