| NPI | 1487032686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61391660) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: WA HM60390306) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2023-01-03 |