| NPI | 1487066213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60144525) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-03-02 |