NPI | 1558738641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00086590) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WA RN00086590) |
101YM0800X Counselor Mental Health (Licence: WA RN00086590) | |
Enumeration Date | 2015-08-25 |
Last Update Date | 2022-11-30 |