| NPI | 1285908350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60807830) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 953-226) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16442-130) | |
| 101YP2500X Counselor Professional (Licence: WI 953-226) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2022-07-08 |