| NPI | 1467073650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61055873) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP61072364) |
| 101YP2500X Counselor Professional (Licence: TX 82854) | |
| 101YP2500X Counselor Professional (Licence: GU LPC-157) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-07-11 |