| NPI | 1922245463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60709716) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: WA HC00154311) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2021-12-06 |