| NPI | 1548929284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61536173) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YP2500X Counselor, Professional (Licence: TX 94569) | |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2026-07-15 |