| NPI | 1194539247 |
|---|---|
| Former Name | DAKOTA LYNN HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00003554) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |