| NPI | 1225484827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 60145139) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG61389518) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2023-06-08 |