| NPI | 1508372723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60619210) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60457860) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2020-07-31 |