| NPI | 1457587800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.00011213) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CDP.CP.60188511) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2026-08-07 |