| NPI | 1437276557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60308552) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60063914) |
| 101Y00000X Counselor (Licence: WA RC00055690) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-06-27 |