| NPI | 1083209332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CO61139575) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61229051) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO61139575) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61139575) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-10-04 |