| NPI | 1801410410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61348737) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61083543) |
| 374700000X Technician (Licence: WA MR61021733) | |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2023-01-10 |