| NPI | 1245846252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CO61040187) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 61040187) |
| 175T00000X Peer Specialist (Licence: WA CG61424783) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-05-04 |