| NPI | 1578119780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60994264) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60994264) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2024-01-09 |