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 |