| NPI | 1770718496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA LH 60012556) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 07-R-31) |
| 101YM0800X Counselor Mental Health (Licence: WA LH 60012556) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |