| NPI | 1407323942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CDP.CP.60778115) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CAAR.CG.60745888) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2026-08-14 |