| NPI | 1326181116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00002816) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00009710) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |