| NPI | 1215473202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60880514) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60595937) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: WA 60880514) | |
| 101YM0800X Counselor, Mental Health (Licence: WA MC 60566278) | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2020-04-15 |