| NPI | 1225281843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH60143071) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-01-20 |