| NPI | 1326681495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP-61458277) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61493372) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2023-11-07 |