| NPI | 1801451091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61456864) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60880117) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2023-09-28 |