NPI | 1750521753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61220629) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60074797) |
101YM0800X Counselor, Mental Health (Licence: WA MC60210787) | |
Enumeration Date | 2009-03-03 |
Last Update Date | 2024-02-16 |