| NPI | 1356616445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60764063) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00006358) |
| 101YM0800X Counselor Mental Health (Licence: OR C6758) | |
| 101YM0800X Counselor Mental Health (Licence: ID LCPC8747) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2024-02-08 |