| NPI | 1720141062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00008762) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA RC00040383) |
| 163W00000X Registered Nurse (Licence: WA RN00071741) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |