| NPI | 1336155324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH00004558) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00002076) |
| 227900000X Respiratory Therapist, Registered (Licence: WA LR 00000696) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |