| NPI | 1144792540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60810528) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2018-12-23 |
| Last Update Date | 2019-01-09 |