| NPI | 1023651718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61173476) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60890327) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61132947) | |
| 101YM0800X Counselor, Mental Health (Licence: WA MC61006347) | |
| 221700000X Art Therapist | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2022-04-08 |