| NPI | 1396130399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA C060548706) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CO 60548706) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-03-30 |