| NPI | 1609447325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61543364) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101YM0800X Counselor, Mental Health (Licence: WA 61543364) | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 372600000X Adult Companion | |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2024-04-22 |