| NPI | 1568992576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003659A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60816684) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60900059) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2021-11-23 |