NPI | 1750806337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61531536) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60983356) |
101YM0800X Counselor, Mental Health (Licence: WA MC61177935) | |
Enumeration Date | 2017-08-04 |
Last Update Date | 2024-05-23 |