| NPI | 1932597267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60706101) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60688361) |
| 101YM0800X Counselor Mental Health (Licence: WA MC60521583) | |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2023-12-09 |