| NPI | 1508307703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60555197) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA 60220195) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2019-02-05 |