NPI | 1083278196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 61081803) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60952387) |
Enumeration Date | 2019-04-24 |
Last Update Date | 2021-09-09 |