| NPI | 1154861474 |
|---|---|
| Former Name | THERESA VALENTINE HARDIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00002592) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00005076) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2018-02-27 |