| NPI | 1134631021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 61095293) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60723940) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60723940) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2024-04-23 |