NPI | 1780119982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60861137) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60324554) |
101YM0800X Counselor, Mental Health (Licence: WA LH61069288) | |
Enumeration Date | 2017-04-25 |
Last Update Date | 2024-09-27 |