| NPI | 1245737865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60907037) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60770009) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-07-02 |