| NPI | 1083252084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61508756) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61254791) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2024-09-12 |