| NPI | 1366733974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60344770) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60272941) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2016-12-16 |