| NPI | 1396243473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61256941) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO60195249) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60851768) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2022-10-17 |