| NPI | 1225114325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001027) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00008200) |
| 101YP2500X Counselor, Professional (Licence: WA RC00010461) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2022-07-21 |