| NPI | 1417497959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60884508) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO 60644687) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60884508) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2019-06-14 |