| NPI | 1265905368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60602982) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG50501871) |
| 101YM0800X Counselor, Mental Health (Licence: WA CAAR.CG.60602982) | |
| 175T00000X Peer Specialist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61046812) | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2025-10-27 |