| NPI | 1336301621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60129047) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60166285) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-R-25) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C2687) | |
| 101YP2500X Counselor, Professional (Licence: WA LH60129047) | |
| 101YP2500X Counselor, Professional (Licence: OR C2687) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-11-05 |