| NPI | 1497218481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH61410541) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60942731) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60986873) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-04-19 |