| NPI | 1942797741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SA60844222) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 5006607-6005) |
| 101YM0800X Counselor, Mental Health (Licence: UT 5006607-3502) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60844229) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |