| NPI | 1013669647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC61384515) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: WA SC61384515) | |
| 171M00000X Case Manager/Care Coordinator (Licence: WA SC61384515) | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-10-04 |