| NPI | 1144594730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60364980) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60461238) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2015-04-29 |