NPI | 1366624454 |
---|---|
Former Name | HEATHER ANNE SONSTENG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60455208) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00041992) |
101YP2500X Counselor, Professional (Licence: WA RC00041992) | |
101YP2500X Counselor, Professional (Licence: WA MC61006978) | |
Enumeration Date | 2007-11-29 |
Last Update Date | 2022-01-07 |