| NPI | 1669566600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61107243) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61027537) |
| 101Y00000X Counselor (Licence: WA CG61027983) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-02-24 |