| NPI | 1073862983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60336435) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60214488) |
| 101Y00000X Counselor (Licence: WA MC60336435) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2013-09-23 |