| NPI | 1063805976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61592545) |
| 101YS0200X Counselor, School | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2025-04-22 |