| NPI | 1386002095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001637) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA CG605/82776) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO00001637) | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2018-03-08 |