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 |