| NPI | 1144648619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60589822) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60444935) |
| 101YM0800X Counselor, Mental Health (Licence: OR C4161) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2016-11-10 |