| NPI | 1750510681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: WA RN00062371) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA RC00013558) |
| 101YM0800X Counselor Mental Health (Licence: WA RC00013558) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |