| NPI | 1225702772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CO61163677) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61163677) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2023-02-10 |