NPI | 1801935192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60173160) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60173160) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60398790) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2013-09-17 |