| NPI | 1053848036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60519472) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-11-27 |