| NPI | 1306147269 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA MC60165733)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2010-11-09 | 
| Last Update Date | 2012-10-05 |