| NPI | 1689834350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00027447) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00058814) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |