| NPI | 1316411663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA CM60890123) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CM60890123) |
| 246YR1600X Specialist/Technologist, Health Information Registered Record Administrator (Licence: WA CM60890123) | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |