| NPI | 1215182209 |
|---|---|
| Former Name | ROSE DEBOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00009299) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00002135) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2022-10-31 |