| NPI | 1972040871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00092172) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00007488) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2018-10-05 |