| NPI | 1417243056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60517534) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60173783) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60458378) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2015-03-17 |