| NPI | 1487057832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5145) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CDPT.CO.60640506) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60653150) | |
| 101YP2500X Counselor, Professional (Licence: OR R4180) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2021-05-24 |