| NPI | 1376199307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61645833) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60838805) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61023645) | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2025-03-12 |