| NPI | 1497987572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60277880) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: WA CG60147752) |
| 101Y00000X Counselor (Licence: WA CG60147752) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2013-03-22 |