| NPI | 1699023820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 101y00000x) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60745886) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60935127) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2024-11-11 |