| NPI | 1184357089 |
|---|---|
| Former Name | CYNTHIA LEE RALPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61067094) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2023-12-15 |