| NPI | 1396089843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00004920) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60516988) |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2020-09-02 |