| NPI | 1063800167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60825990) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60926709) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2024-10-23 |