| NPI | 1699718544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003083) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA AP30003083) |
| 163W00000X Registered Nurse (Licence: WA RN00077038) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30003083) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-02-21 |