| NPI | 1801004494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00005685) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: WA RN00074071) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |