| NPI | 1144525916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60323715) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60323715) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60294522) | |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2020-03-23 |