| NPI | 1710417084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61066272) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60728563) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60925562) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-02-09 |