| NPI | 1912583790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA CG61160287) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61160287) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-22 |