| NPI | 1356817027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60593017) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CP60836353) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2024-07-30 |