| NPI | 1659494227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA RC00042883) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NA00189572) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |