| NPI | 1780980433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC6023326) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00130096) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2012-07-19 |