| NPI | 1295137412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60675467) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60463233) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO 60516023) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2016-10-18 |