| NPI | 1295221182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WA CO60750286) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2022-07-14 |