| NPI | 1952848517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CU61569013) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA Cp00001255) |
| 101YM0800X Counselor, Mental Health (Licence: WA CU61569013) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2024-07-22 |