| NPI | 1013482256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60978427) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60814386) |
| 101YM0800X Counselor, Mental Health (Licence: WA 61174631) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2024-02-27 |