| NPI | 1811056674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 85353 MAC,NAADAC) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00005533) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH00004887) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2025-09-11 |