| NPI | 1912131764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC 13233) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60233395) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 60233412) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC 11868) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2021-06-16 |