| NPI | 1447729264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH60161600) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor (Licence: WA 60161600) | |
| 225C00000X Rehabilitation Counselor (Licence: WA 00054941) | |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2024-08-19 |