| NPI | 1053026385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CDPT.CO.61388854) | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2025-11-04 |