| NPI | 1720228109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60138825) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA RC00050329) |
| 101YM0800X Counselor, Mental Health (Licence: WA RC00050329) | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2023-12-28 |