| NPI | 1881172773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP61217874) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2021-11-10 |