| NPI | 1295084846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006322) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60201203) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60210692) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |