| NPI | 1073795159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH60680303) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60149868) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2024-11-16 |