| NPI | 1881337970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-06-20441) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 61292915) | |
| 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHP-R-2781) | |
| 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61562243) | |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2024-06-26 |