| NPI | 1407286602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60535761) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60721364) |
| 101YM0800X Counselor, Mental Health (Licence: AK PC131270) | |
| 101YM0800X Counselor, Mental Health (Licence: HI MHC577) | |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2019-06-26 |