| NPI | 1811538986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA 60828945) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61010256) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-10-01 |