| NPI | 1508098930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA CG60158326) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO60149118) |
| 101YP2500X Counselor Professional (Licence: WA RC60089841) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2023-10-02 |