| NPI | 1669985990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60520479) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10097214) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-03-17 |