NPI | 1265967723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00004648) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC61386778) |
Enumeration Date | 2017-04-21 |
Last Update Date | 2025-08-04 |