| NPI | 1528317310 |
|---|---|
| Former Name | ANNA MARIA CAVANAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60137186) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60262599) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |