| NPI | 1275059446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61199359) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP5434-R) |
| 101YM0800X Counselor, Mental Health (Licence: WI 10855-125) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61430542) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2025-12-11 |