| NPI | 1891278297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60806423) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA 00027994) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2022-03-19 |