| NPI | 1114468840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60717756) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60889657) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2022-12-28 |