| NPI | 1639602816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60914235) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60808980) |
| 101Y00000X Counselor (Licence: WA MC60778707) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2023-12-19 |