| NPI | 1437355609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WA RN00073945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00006697) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-08-27 |