| NPI | 1245055540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60575846) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61241827) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |