| NPI | 1164785812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60463513) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA LH60463513) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2025-03-14 |