| NPI | 1457529828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00059882) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10091374) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |