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 |