| NPI | 1497892095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA AP30003907) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN00045658) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |