| NPI | 1497808547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA RC00014415) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN00121338) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2025-09-11 |