| NPI | 1932745767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH61330804) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC61104696) | |
| 106H00000X Marriage & Family Therapist (Licence: WA MG61104547) | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2022-08-30 |