| NPI | 1396921565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP00059431) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00052844) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |