| NPI | 1285395103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: WA CDPT.CO.61129031) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-04 |