| NPI | 1376797548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC60056544) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10077468) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |