| NPI | 1447011564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61550237) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CDPT.CO.61562384) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP70113256) | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2026-08-27 |