| NPI | 1780757476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30000058) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001119) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-06-12 |