| NPI | 1164183901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61151125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61192477) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61134799) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |