| NPI | 1811430333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61328035) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60246706) |
| 101Y00000X Counselor (Licence: WA CP60246706) | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2024-01-09 |