| NPI | 1992400220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61497382) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61465676) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61465676) | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-07-31 |