NPI | 1194037622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60953838) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2010-07-13 |
Last Update Date | 2021-03-23 |