| NPI | 1477121432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA NC61073133) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WA NC61073133) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |