| NPI | 1902331739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61015613) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60826793) |
| 101YM0800X Counselor, Mental Health | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2021-06-22 |