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 Spec/Tech, Health Info, Registered Record Administrator (Licence: WA CM60890123) | |
Enumeration Date | 2019-01-18 |
Last Update Date | 2019-01-18 |