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