| NPI | 1457710774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60574109) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2019-04-29 |