| NPI | 1124502158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61044126) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60832549) |
| 101YM0800X Counselor, Mental Health (Licence: WA 60743380) | |
| Enumeration Date | 2018-09-15 |
| Last Update Date | 2021-12-21 |