| NPI | 1780956664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60257848) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60257848) |
| 101YS0200X Counselor, School (Licence: WA MC60257848) | |
| 171M00000X Case Manager/Care Coordinator (Licence: WA MC60257848) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |