| NPI | 1760615876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA SC61471875) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60264795) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2023-11-02 |