NPI | 1467805176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60117825) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60621959) |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-12-28 |