| NPI | 1649539537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60887053) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60542528) |
| 104100000X Social Worker (Licence: WA CG60276069) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2021-09-14 |