| NPI | 1013486091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61210361) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60833362) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CG60821096) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2023-02-08 |