| 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 |