| NPI | 1003362401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60778014) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO 60660174) |
| 101YP2500X Counselor Professional (Licence: WA CG61381785) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2024-05-15 |