| NPI | 1518673672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61297200) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP61283636) |
| 101YM0800X Counselor Mental Health (Licence: LA PLC9215) | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-06-14 |