| NPI | 1447866785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP00058776) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: WA LP00058776) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |