| NPI | 1033874417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61214516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG61392985) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-06-06 |