| NPI | 1891065140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60142482) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60210911) |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60142482) | |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2016-12-28 |