| NPI | 1508302753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60554657) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60419340) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-01-10 |