| NPI | 1083230346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 12355694-6009) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 12355694-6017) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60940944) | |
| 101YM0800X Counselor, Mental Health (Licence: WA MC61080470) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 12355694-6009) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-04-03 |