| NPI | 1457867558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60697709) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60697709) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2022-03-11 |