| NPI | 1154075141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60567894) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60718987) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2024-07-11 |