| NPI | 1861483836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00003643) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00068490) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-08 |