| NPI | 1225678998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CP61356979) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA CP61356979) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA CP61356979) | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: WA CP61356979) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WA CP61356979) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: CP61356979) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA CP61356979) | |
| 171400000X Health & Wellness Coach (Licence: CP61356979) | |
| 251B00000X Case Management (Licence: WA CP61356979) | |
| 251S00000X (Licence: CP61356979) | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2023-11-02 |