| NPI | 1548473820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH00008958) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR C1703) |
| 101YM0800X Counselor Mental Health (Licence: OR C1703) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |