| NPI | 1477025948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60849807) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61667283) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2025-04-14 |