| NPI | 1477987089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 00006181) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2018-10-01 |