| NPI | 1376235697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61518594) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2024-03-01 |