| NPI | 1972717619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LF00001190) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF00001190) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |