| NPI | 1760329957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP.70042178) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC70135214) |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-08-13 |