| NPI | 1760070296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG61134905) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG61134905) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2023-06-15 |