| NPI | 1164671301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001891) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CP00001891) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |