| NPI | 1043788458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.61097218) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CDP.CP.60847368) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2026-08-14 |