| NPI | 1932522430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5642) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60245583) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60445115) | |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2024-06-27 |