| NPI | 1396231601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP61343567) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 19-05-01) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA 61134616) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2023-09-28 |