| NPI | 1558405456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00005566) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00104025) |
| 174400000X Specialist (Licence: WA MA00009259) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |