| NPI | 1316311236 |
|---|---|
| Former Name | ASTI SORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60604929) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2023-01-30 |