NPI | 1295878791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60408967) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00005719) |
101YM0800X Counselor, Mental Health (Licence: WA RC00053883) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2022-04-19 |