| NPI | 1093890311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60177600) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-08-20 |