| NPI | 1639471048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60153692) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CB00025587) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00002313) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |