| NPI | 1336686468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 60535562) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 61561853) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2024-06-02 |