| NPI | 1568015337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60962947) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC61039172) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: WA PC61086725) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2026-05-05 |