| NPI | 1376323352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP70146818) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 61481409) |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2026-09-02 |