| NPI | 1437335304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00009742) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60067907) |
| 101Y00000X Counselor (Licence: WA LH00009742) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2013-03-20 |