| NPI | 1205371309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO 60707343) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG 60687793) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |