| NPI | 1699951343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60042021) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00001380) |
| 101YP2500X Counselor Professional (Licence: WA RC00028246) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2009-04-09 |