| NPI | 1023779667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61177127) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG61259469) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-06 |