| NPI | 1457673196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61473505) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA RC00045691) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2025-03-20 |