| NPI | 1013144500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00008054) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00004617) |
| 101YM0800X Counselor, Mental Health (Licence: OR C0938) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2015-06-17 |