| NPI | 1679648208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00034191) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001417) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-09-11 |