| NPI | 1679018113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CP60344301) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60223891) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60344301) | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2024-06-26 |