NPI | 1578126017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61372235) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61086250) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60963972) | |
101YM0800X Counselor, Mental Health (Licence: WA MC61086250) | |
Enumeration Date | 2019-04-19 |
Last Update Date | 2024-02-20 |