| NPI | 1750917977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61021460) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 103494) |
| 163WG0000X Registered Nurse, General Practice (Licence: OR 201907272) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA 61018740) | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |