| NPI | 1336703842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60959233) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60959233) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60959233) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2021-01-20 |