| NPI | 1003206236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61469672) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 20-07-33) |
| 101YM0800X Counselor, Mental Health (Licence: OR C7707) | |
| 372600000X Adult Companion | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2024-03-11 |