| NPI | 1407948797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00003846) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00003483) |
| 163W00000X Registered Nurse (Licence: WA RN00097554) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-09-11 |