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 |