| NPI | 1003432055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61234918.) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 1971391) |
| 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.70012157) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2026-03-10 |