| NPI | 1477039386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61256196) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 16727) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 61211638) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2026-03-11 |