| NPI | 1396096210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60782593) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60230168) |
| 101YS0200X Counselor, School (Licence: WA 525805H) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2019-07-24 |