| NPI | 1457126104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61481338) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60685835) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |