| NPI | 1124310610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61485988) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60277305) |
| 106H00000X Marriage & Family Therapist (Licence: WA MG61304540) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2023-12-07 |