| NPI | 1740847094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG61450997) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61362103) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN61283114) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61283128) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2023-06-23 |