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 |