| NPI | 1821386939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG60232170) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2014-02-13 |